Superior Vision Copay



  • Meeting schedule All meetings begin at 9 a.m., unless otherwise noted. January 28, 2021 March 4, 2021 April 7, 2021 May 5, 2021 June 3, 2021 June 24, 2021 July 15, 2021 July 22, 2021 July 29, 2021 If you are a person with a disability and need a special accommodation, please contact Connie Bergener at 360-725-0856.
  • Superior Vision Insurance eye care providers will be looking for signs that may indicate other health issues – not just vision problems. Take the time to get to know your vision plan, and start experiencing healthy eyes and healthy living. Monthly Rates Retiree Only: $.
  • Choices range from PPO-style and copay options to prepaid plans that work like a Dental Health Maintenance Organization (DHMO). Vision Insurance Florida Blue offers BlueVision plans so you can offer your employees a valuable benefit at an affordable cost.

Vision care starts with preventative care. Under Medicaid, well-child checkups and exams should include vision screenings. Each state will determine how often these checkups and screenings are performed, but it is generally recommended that an annual eye exam is performed to ensure optimal eye health.

Superior Vision Copays

Dental plan

Your dental coverage, through Delta Dental of Washington, encourages regular preventive care, helps you maintain healthy teeth and gums, and helps you pay for a broad range of other dental services when treatment is needed.

Most dentists in Washington participate in a Delta Dental network and the chart below shows what you will pay when you see a network dentist.

Your dental covers diagnostic and preventive services at 100%. For restorative services and crowns, the benefit plan increases what it pays through an incentive program. As long as you see a dentist at least once per year for a covered service, your benefit level increases each year until you reach the highest incentive level.

Delta Dental Plan Feature (In Network)
Member Pays
Annual Deductible $25 person / $75 family
Annual Maximum Benefit $2,500 per person
Preventive Services (exams, cleanings, x-rays, fluoride*, sealants) 0%**
Basic Services (fillings, stainless steel crowns, endodontics,
periodontics, removal of teeth, oral surgery)
0 – 30%
Crowns other than stainless steel 15 – 30%
Major Services (dentures, partials, bridges, implants***) 30%
Orthodontia (lifetime max $2,500/person), TMJ and occlusal guard 50%
* Fluoride is covered for children through age 18.
** Deputy Sheriff plan members pay 0 – 30% for preventive services.
*** Implants covered on Regular and Transit ATU 587 dental plans only.

Delta Dental does not use ID cards. For plan details, see Benefits Summaries.

Delta Dental contact information

Policy #s: Regular 0152-30050, Transit 0037-0001(Full-time full benefits and part-time full benefits) and 0152-30030 (Part-time partial benefits), Sheriff 0285-00000

Phone: 866-229-4102

Superior Vision Copay

Email:Delta Dental

Web:Delta Dental

Claims: Delta Dental of Washington, P.O. Box 75983, Seattle, WA 98175-0983

Superior Vision Copay

Vision plan

Your vision benefits, through Vision Service Plan (VSP), make it easy for you to get the eye care you need.

You may use any eye care provider you want, but if you see a VSP provider, your out-of-pocket expenses are generally lower and the provider automatically files your claim. Kaiser Permanente provides routine vision exams under its medical plan, but none of the other vision benefits, such as frames, lenses, and contacts.

VSP Plan Feature (In Network)
Member Pays
Eye Exam (every 12 months)
$10 copay
Lenses: Single, Bifocal, Trifocal (every 12 months)
$0
Frames (every 24 months)
$200 allowance* +
20% off balance
Contact Lenses (every 12 months in lieu of glasses)
$200 allowance*
Contact Lens Exam (fitting and evaluation)
Up to $60 copay
* Allowance for Regular and Transit ATU 587 employee benefit groups is $200, allowance
for all other benefit groups is $130.

How Much Does Superior Vision Cover

For plan details, see Benefits Summaries.

VSP contact information

Policy #s: Regular 12-029826-2006, Transit 12-029826-2014 (Full-time full benefits and part-time full benefits) and 12-029826-2004 (Part-time partial benefits), Sheriff 12-029826-2012

Superior Vision Copay Card

Phone: 800-877-7195, 800-428-4833 (TTY)

Email:VSP

Web:VSP

Claims: VSP, P.O. Box 385018, Birmingham, AL 35238-5018